Nutrition Assessment

 

 

Description

Select a client/patient that you have been caring for in your practice, especially one that may not be getting their nutritional needs met. Based on your assessment of the client, share your findings with your colleagues addressing the four items listed below on this discussion board. Make sure you answer all the questions, as each item has a separate point value.

Discuss the health status of your client/patient and include in your discussion their diagnosis, major stressors, medical problems, and pertinent assessment and diagnostic data.
Calculate the basal energy expenditure (BEE) on your client/patient. Show your work.
Compare basic energy requirement (number of calories) with nutritional intake. Discuss the type of diet, IV fluids, TPN, or enteral feedings the patient is getting and try to calculate the best you can the number of calories the patient is receiving. Show all work.
Evaluate the nutritional needs of the patient in terms of calories, proteins, fats, carbohydrates, and nutrients in comparison to their physical/mental condition. (You may need to do a 24-hour food diary for this.)
Which components of macro- and micro-nutrients are missing in the diet? What would you suggest to enhance the client’s/patient’s nutrition and healing?

 

 

Sample Solution

Thirdly, Vittola argues that war should be avoided (Begby et al (2006b), Page 332) and that we should proceed circumstances diplomatically. This is supported by the “last resort” stance in Frowe, where war should not be permitted unless all measures to seek diplomacy fails (Frowe (2011), Page 62). This means war shouldn’t be declared until one party has no choice but to declare war, in order to protect its territory and rights, the aim of war. However, we can also argue that the war can never be the last resort, given there is always a way to try to avoid it, like sanctions or appeasement, showing Vittola’s theory is flawed. Fourthly, Vittola questions upon whose authority can demand a declaration of war, where he implies any commonwealth can go to war, but more importantly, “the prince” where he has “the natural order” according to Augustine, and all authority is given to him. This is further supported by Aristotle’s Politics ((1996), Page 28): ‘a king is the natural superior of his subjects.’ However, he does later emphasise to put all faith in the prince is wrong and has consequences; a thorough examination of the cause of war is required along with the willingness to negotiate rival party (Begby et al (2006b), Page 312& 318). This is supported by the actions of Hitler are deemed unjustly. Also, in today’s world, wars are no longer fought only by states but also non-state actors like Al-Queda and ISIS, showing Vittola’s normative claim on authority is outdated. This is further supported by Frowe’s claim that the leader needs to represent the people’s interests, under legitimate authority, which links on to the fourth condition: Public declaration of war. Agreed with many, there must be an official announcement on a declaration of war (Frowe (2011), Page 59-60&63). Finally, the most controversial condition is that wars should have a reasonable chance of success. As Vittola reiterated, the aim of war is to establish peace and security; securing the public good. If this can’t be achieved, Frowe argues it would be better to surrender to the enemy. This can be justified because the costs of war would have been bigger (Frowe (2011), Page 56-7).

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